Healthcare Provider Details

I. General information

NPI: 1003888645
Provider Name (Legal Business Name): DR. WILLIAM R HOBBS
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 02/07/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 W BALTIMORE ST
BALTIMORE MD
21223-1558
US

IV. Provider business mailing address

8604 GLEN HANNAH CT
WINDSOR MILL MD
21244-1100
US

V. Phone/Fax

Practice location:
  • Phone: 410-362-3000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberD0025213
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: